Left ventricular volume reduction surgery.
Left ventricular volume reduction has recently been introduced as a surgical treatment for end stage dilated cardiomyopathy. This operation involves the resection of a slice of viable left ventricular myocardium in order to reduce the wall tension imposed upon the contracting heart chamber. Early results are encouraging, but clinical evaluation on a larger scale is required. In the present article, we describe the indications, surgical principles and results of left ventricular volume reduction surgery with reference to our group's experience.
Birdi
I
I
Department of Anaesthesia, University of Bristol, Bristol Royal Infirmary, UK.
Bryan
A J
AJ
Mehta
D
D
Pryn
S
S
Walsh
C
C
Wilde
P
P
Angelini
G D
GD
D000818:Animals; D006348:Cardiac Surgical Procedures; D002311:Cardiomyopathy, Dilated / Q000503:physiopathology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D011182:Postoperative Care; D011300:Preoperative Care; D013318:Stroke Volume; D016896:Treatment Outcome; D014463:Ultrasonography; D016277:Ventricular Function, Left